Nolan, Martha Jennilee

Nolan, Martha Jennilee is an individual health care provider with primary practice located at 2204 Forsythe Ave , Monroe LA 71201-3613. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Nolan, Martha Jennilee can be contacted via phone (318) 884-4344.

Contact Information

Primary practice address
2204 Forsythe Ave Monroe LA 71201-3613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6262 Louisiana

Profile Details

NPI number 1730441270
LBN Legal business name Nolan, Martha Jennilee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2012
Last updated Dec 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730441270 NPPES
Louisiana MEDICAID 1862622

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